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- � PUBLIC WORKS Da,e e/17/?0�5 . � <br /> PERMIT PublicWorksPertnit# PWGSOb-021 <br /> cosos-ooi <br /> Building Pcrmit a <br /> PUBLIC WORKS DEPARTMENT Planning Relerence a <br /> 3200 Cedar Sirect <br /> Everetl.WA98201 Public Works Fee 5 5�� ,i„ <br /> (425)Zs�g'�OSTING OCT 1 7 200 Guarantce 5 <br /> � <br /> OWNERNAME GILMC�RE HENFiY �PPLICANTNAME <br /> ANDADDRESS: 5�05 FVERGP,EEN f�AY ^,i� ;;i;7 ANDADDH[SS-. <br /> E'.�ES2ETT WA 96::�i1 <br /> PHONE: PHONC-: <br /> 7A%PARCELID.a ?qOSZDO�.iQOBiUI� PROJECTADDRESS: �y(11 �I�F-.F,ETT ?1\�I's <br /> D[SCRIPTION OF �' v ' � �'� � I <br /> PROPOSEDWORK: �Oa� /<� ,�J�„�` �, <br /> d �.�o.*`��� <br /> PERMIT CONDITICNS <br /> 1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be perlormed in accordance wilh this permil and current City of [verelt Design and Constructwn <br /> Standards and Specilications. <br /> 3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4. Pavc� peoposed packin9 vith a�phalt oe conceete W <br /> �i. Meet with the Pul?lir. pock� iiispectoe (425-339-?�lV_�i re�7aeding drain,a�ae .y�tem � <br /> pcovisions foc the paekinq K�avi��t�. 'A <br /> G. F,�vise t�uildim:� �1CIB-B�=M�3L t� a minir.�um of 6" diar.,eter fcan the building to 'th=• .` '' V� <br /> e:�w,_r ms.n. � • , - '- �--�- �- � _ M <br /> � __�, -� ;.�,�_�� -�;� � W <br /> "r' �ri �-� : , �-,�� ` <br /> O <br /> ��'{ Rl <br /> � <br /> 4 Z <br /> � .. <br /> O <br /> �,; �;�n������� - �- <br /> "_�;� A <br /> � a <br /> ACICNOWLEDGEMENT OF CONDITIONS <br /> � � y/, The undersigned ownedapplicant hereby agrecs to hold and <br /> i L�lJ�_� �� save haimless the Ciry oi Everett Irom any and all claims lor <br /> n ovea Ior Cons�mc�ion .ne damages,costs,e:penees,or causes ol aclion that may arise <br /> , � i because ol installation and mainlenance of the improvemenl or <br /> / � �' . ,, other right-obway use hereto applied for and furiher agrees to <br /> ` � • ' ��1 � (�`' �" ' � ' ��.5 remove same upon notice Irom the City and to replace public <br /> FINAL INSPECTI0�7� pmperty damaged thcreby. <br /> ApVroved.sCons7ruc�ed � Dale ,.�' <br /> ' �t'y.� ���---�_ 6'�.'y /c ; <br /> Signalure ol Applicanl Datc <br /> 1NORK AUTHORIi.ED l7Y THIS P[I71A�T AtUST BE STTRT[D WI11iiN i�0 DAYS OF DATE PERMIT IS ISSUEO AND THEFiEAFTER IS TO B[DILIGENTLY PUFSUED <br /> TO CO'dFL[TION THIS PGRAt1T�dAY OB CANCF:LLBD(3V THE CI7V UPON ANY STOPPAGE OF 1YORK ON THIS PROJHCT OV[R 90 DAYS Dl1RATI0N. <br />